| NPI | 1225038219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NM CNM595) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA RN00102464) |
| 367A00000X Advanced Practice Midwife (Licence: WA AP30002549) | |
| Enumeration Date | 2005-07-30 |
| Last Update Date | 2016-09-08 |