| NPI | 1487206983 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 489) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R2494303) | 
| 363LF0000X Nurse Practitioner, Family (Licence: MN 8888) | |
| Enumeration Date | 2019-07-15 | 
| Last Update Date | 2025-01-07 |