| NPI | 1558566745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 201350088NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WY 19617.0716) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2015-01-02 |