| NPI | 1427412782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NC 601) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 165068) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2021-03-31 |