| NPI | 1780102814 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 476) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2299233) | 
| Enumeration Date | 2017-09-08 | 
| Last Update Date | 2023-04-25 |