| NPI | 1699007633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN R206694-5) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OH 11220-NM) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2012-08-14 |