| NPI | 1154323145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OH APRNCNM03296) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRNCNP020368) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2021-08-10 |