| NPI | 1619473139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 201907636NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201907636NP-PP) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2021-01-12 |