| NPI | 1881908275 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN R176408-6) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R176408-6) | 
| Enumeration Date | 2010-07-28 | 
| Last Update Date | 2013-04-22 |