| NPI | 1891792438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: OR 091007322N5) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 091007322RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 091007322) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-01-23 |