| NPI | 1578108320 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MI 4704397757)  | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OH 0019576)  | 
| Enumeration Date | 2019-11-14 | 
| Last Update Date | 2024-01-02 |