| NPI | 1346591914 |
|---|---|
| Former Name | MARIA JEAN CANELLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: KY 3007695) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KY 3007695) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2021-02-22 |