| NPI | 1558842112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: MA RN2288437) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: RI CNM00174) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2023-07-07 |