| NPI | 1619275120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KS G4099) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KS 53-64099-012) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2021-07-06 |