| NPI | 1669742870 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 201392554NP-PP) | 
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 200441909RN) | 
| Enumeration Date | 2012-01-04 | 
| Last Update Date | 2013-09-30 |