| NPI | 1619422094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WY 44965) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CO APN.0992457-CNM) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2020-09-09 |