| NPI | 1669059762 |
|---|---|
| Former Name | SHACOLA JENKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife |
| Additional Taxonomies | 176B00000X Midwife (Licence: SC 24807) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-11-29 |