| NPI | 1811482953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: OH APRN.CNM.19421) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MI 4704224175) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-11-03 |