| NPI | 1023016805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MI 4704188734) |
| Additional Taxonomies | 176B00000X Midwife (Licence: OH 06656) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2013-05-03 |