| NPI | 1609881028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 200350109) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 200350109NP NMNP) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2012-08-15 |