| NPI | 1760187603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AL 1-189127) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-189127) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2026-05-11 |