| NPI | 1790373256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: DC CNM200004782) |
| Additional Taxonomies | 176B00000X Midwife (Licence: CA 236166) |
| Enumeration Date | 2021-01-09 |
| Last Update Date | 2022-01-20 |