| NPI | 1770252173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WI 149023-32) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CNM07255) |
| 367A00000X Advanced Practice Midwife (Licence: MN 483) | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-10-21 |