| NPI | 1841239506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TN APN0000015436) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA MW008383L) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-10-09 |