NPI | 1326716093 |
---|---|
Former Name | DEIDRA RAE STUVA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 202215443NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201405777RN) |
Enumeration Date | 2021-08-30 |
Last Update Date | 2023-02-10 |