| NPI | 1679821672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 201250135NP-PP) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: OR 201250135NP) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2016-06-18 |