| NPI | 1730592759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 0305) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MI 4704237509) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704237509) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2025-09-19 |