| NPI | 1134242167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: OR 200750024NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 200750024NP) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 200750024NP) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-02-24 |