| NPI | 1023099827 |
|---|---|
| Former Name | BEVERLY ANN OTTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: PA MW010133) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL ARNP1205642) |
| 163W00000X Registered Nurse (Licence: PA RN 197292-L) | |
| 367A00000X Advanced Practice Midwife (Licence: MD R204958) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2014-08-26 |