| NPI | 1760451652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: IA B-063607) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MN R105326-3) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2011-12-15 |