| NPI | 1831595552 |
|---|---|
| Former Name | TERRA KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CO APN.0991474-CNM) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CO RXN.0101565-CNM) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2019-06-06 |