| NPI | 1578848586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN R-219830-5) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY 001399) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2016-07-28 |