| NPI | 1518362664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NV APRN001886) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WA AP60764784) |
| 367A00000X Advanced Practice Midwife (Licence: MT 131123) | |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2022-10-21 |