| NPI | 1720652019 |
|---|---|
| Former Name | TRYSTAN JANEL MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: TN 29625) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TN 29625) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2024-09-09 |