| NPI | 1508020777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.13917-NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OH NM-11023) |
| 367A00000X Advanced Practice Midwife (Licence: OH COA.10023-NM) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2016-12-21 |