| NPI | 1710232236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: ME CNM142001) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY 001490) |
| 367A00000X Advanced Practice Midwife (Licence: WA AP60401092) | |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2014-06-04 |