| NPI | 1417266354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201050108NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 201050108NP) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2021-03-22 |