| NPI | 1902198708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WA AP61053772) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 202107304NP-PP) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2024-10-17 |