| NPI | 1588897813 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 0028) | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WI 148833) | 
| 367A00000X Advanced Practice Midwife (Licence: MN R1313437) | |
| Enumeration Date | 2009-09-03 | 
| Last Update Date | 2020-08-07 |