| NPI | 1770064560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: MN 428) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 201909130NP-PP) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 201708811RN) | |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2020-02-19 |