| NPI | 1700320066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN CNM03689) |
| Additional Taxonomies | 176B00000X Midwife (Licence: PA MW010426) |
| 367A00000X Advanced Practice Midwife (Licence: FL APRN11021573) | |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2025-08-22 |