NPI | 1821672395 |
---|---|
Former Name | AMANDA L WOLF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 202107253NP-PP) |
Additional Taxonomies | 176B00000X Midwife (Licence: OR CNM06851) |
363LW0102X Nurse Practitioner, Women's Health (Licence: OR 104951734) | |
Enumeration Date | 2021-05-10 |
Last Update Date | 2023-05-01 |