| NPI | 1518005131 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: ID CNM-51A)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200641212RN)  | 
| 176B00000X Midwife (Licence: OR 0618262524)  | |
| Enumeration Date | 2007-02-03 | 
| Last Update Date | 2008-09-18 |