| NPI | 1497738744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NC 65) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC CNM65) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2026-05-04 |