| NPI | 1861014755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CNM06305) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA CNM06305) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2021-09-15 |