| NPI | 1760851745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MI 4704263571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704263571) |
| Enumeration Date | 2015-09-19 |
| Last Update Date | 2015-09-19 |