| NPI | 1073764775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OH APRN.CNM.10281) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WV 156) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2019-10-29 |