| NPI | 1205388634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OH APRN.CNM.019300) |
| Additional Taxonomies | 176B00000X Midwife (Licence: OH CNM3616) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2019-09-20 |