| NPI | 1891733440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 11275) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R-155072-4) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2012-08-21 |