| NPI | 1619477585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MI 4704298269) |
| Additional Taxonomies | 176B00000X Midwife (Licence: OH APRN.CNM.019358) |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2022-07-15 |