| NPI | 1124482070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201600813NP-PP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 201600812NP-PP) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |