| NPI | 1629619523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MA CNM05848) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2296735) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-09 |