| NPI | 1609374495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CNM04735) |
| Additional Taxonomies | 176B00000X Midwife (Licence: AL LM0018) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2021-01-12 |