| NPI | 1194766915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: OH APRN.CNM.019302) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9191768) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-12-09 |