| NPI | 1104376219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OH 019332) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IN 71006654) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2020-04-08 |