| NPI | 1679956015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NC CNM05541) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5007746) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2020-01-12 |