| NPI | 1790055960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 4039394) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR 201393401NP-PP) |
| 367A00000X Advanced Practice Midwife (Licence: OR 201393401NP-PP) | |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2025-05-12 |