| NPI | 1295165389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 201392912NP-PP) |
| Additional Taxonomies | 176B00000X Midwife (Licence: AZ AP11194) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 201392912NP-PP) | |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2022-04-12 |