| NPI | 1710954102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IN 71004286A) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MI 4704237039) |
| 363L00000X Nurse Practitioner (Licence: IN 71004286A) | |
| 367A00000X Advanced Practice Midwife (Licence: MI 4704237039) | |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2018-01-05 |