| NPI | 1699745802 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 0072) | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MN R087192-5) | 
| Enumeration Date | 2006-01-23 | 
| Last Update Date | 2020-08-07 |