| NPI | 1841297587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN CNM 0256) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WI 137182-32) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2021-05-05 |