| NPI | 1750854931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: KS 53-78601) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MO 2024043751) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2025-06-17 |