| NPI | 1619300829 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MO 2016025029)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013022809)  | 
| Enumeration Date | 2013-08-12 | 
| Last Update Date | 2025-06-03 |