| NPI | 1801968649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 084051307N5) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 084051307N5) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |