| NPI | 1639515885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: ID CNM57009) |
| Additional Taxonomies | 176B00000X Midwife (Licence: AR M002120) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2018-09-06 |