| NPI | 1487707550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WA AP30004003) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA RN00068753) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2009-08-07 |