| NPI | 1619300829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: MO 2016025029) |
| Additional Taxonomies | 176B00000X Midwife |
| 207Q00000X Family Medicine (Licence: MO 2013022809) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2021-03-02 |