| NPI | 1851649933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 66160) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 202002624NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202002624NP-PP) | |
| 367A00000X Advanced Practice Midwife (Licence: OR 201508015NP-PP) | |
| 367A00000X Advanced Practice Midwife (Licence: ID CNM-63A) | |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2025-08-21 |