| NPI | 1972851244 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 176B00000X Midwife (Licence: FL MW283)  | 
| Additional Taxonomies | 261QB0400X Clinic/Center, Birthing (Licence: FL 341)  | 
| Enumeration Date | 2012-08-16 | 
| Last Update Date | 2023-01-16 |