| NPI | 1720071939 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MI 4704214498) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OH NM04013) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2012-03-19 |