| NPI | 1184145641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: OH APRN.CNM.019367) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OH APRN.CNM.019367) |
| 176B00000X Midwife (Licence: PA MW010454) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2018-08-08 |