| NPI | 1902103658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN R 128894-4) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MN CNM0226) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2022-07-21 |