| NPI | 1235507252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201506622NP-PP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 201506622NP-PP) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2024-07-03 |