| NPI | 1770347221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 4042984) |
| Additional Taxonomies | 176B00000X Midwife (Licence: FL CNM09027) |
| Enumeration Date | 2024-02-06 |
| Last Update Date | 2025-07-21 |