| NPI | 1992147110 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OH APRN.CNM.19180)  | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9330152)  | 
| 367A00000X Advanced Practice Midwife (Licence: MD R196473)  | |
| 367A00000X Advanced Practice Midwife (Licence: FL CNM1320)  | |
| Enumeration Date | 2013-07-30 | 
| Last Update Date | 2020-11-13 |