| NPI | 1154940260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OH APRN.CNM.0019474) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 34-005035) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2021-06-23 |