| NPI | 1154392496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 200150132NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 91007142) |
| 367A00000X Advanced Practice Midwife (Licence: WA AP 30004962) | |
| 367A00000X Advanced Practice Midwife (Licence: CA 1876) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30004962) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2009-10-29 |