| NPI | 1518400654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9830) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MN 527) |
| 367A00000X Advanced Practice Midwife (Licence: SC 22854) | |
| 367A00000X Advanced Practice Midwife (Licence: OK 119018) | |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2023-04-25 |