NPI | 1144616921 |
---|---|
Former Name | HANNAH AUTUMN HAVERKAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 201911189NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 38662) |
163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: AK 1531) | |
Enumeration Date | 2015-04-08 |
Last Update Date | 2020-01-24 |