| NPI | 1134736242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OH 06604) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 1025767) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2022-11-07 |