| NPI | 1003945916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 201050086NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201050086NP) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-06-20 |