| NPI | 1629320445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: TX 10080038) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209009685) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2025-08-29 |