| NPI | 1255317996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.0038406) |
| Additional Taxonomies | 176B00000X Midwife (Licence: OH APRN.CNM.06142) |
| 367A00000X Advanced Practice Midwife (Licence: IN 09000279A) | |
| 367A00000X Advanced Practice Midwife (Licence: MI 4704203170) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2025-04-22 |