| NPI | 1861102337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: AK 197033) |
| Additional Taxonomies | 176B00000X Midwife (Licence: AK 197033) |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2024-12-16 |