| NPI | 1891799250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 272) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WI 113280) |
| 367A00000X Advanced Practice Midwife (Licence: MN 2291435) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2019-06-24 |