| NPI | 1891193512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: OR 202103308NP-PP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MO 2019032499) |
| 367A00000X Advanced Practice Midwife (Licence: NY F001661-1) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2021-05-14 |