| NPI | 1629044680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 188) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MN R 139120-0 CNM) |
| 367A00000X Advanced Practice Midwife (Licence: IA B043230) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2022-04-11 |