| NPI | 1588017479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN CNM 0324) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R35248) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-11-10 |