| NPI | 1689739328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: OR 091000472N7) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 200150033NP) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2023-04-11 |