| NPI | 1548612013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: UT 7949291-4402) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MO 2016021962) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2018-02-14 |