| NPI | 1508116203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OH APRN.CNM.13981) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14052) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2018-10-09 |