| NPI | 1134643984 |
|---|---|
| Former Name | REBECCA SHACKLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: FL APRN11022003) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OH 19340) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-11-29 |