| NPI | 1952392284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: OH APRN.CNM.019308) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: GA RN165264) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2022-03-17 |