| NPI | 1871784595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WY 1) |
| Additional Taxonomies | 176B00000X Midwife (Licence: MT 33) |
| 176B00000X Midwife (Licence: WY 1) | |
| 367A00000X Advanced Practice Midwife (Licence: MT 33) | |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2015-07-15 |