| NPI | 1073304739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 10048654) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: OR 201806754RN) |
| Enumeration Date | 2025-05-13 |
| Last Update Date | 2025-11-03 |