| NPI | 1316129521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 095000158N5 NMNP-PP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 095000158RN) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2009-02-05 |