| NPI | 1639822877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CT 510) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MA CNM07599) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-04-06 |