| NPI | 1902480478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 202006863) |
| Additional Taxonomies | 176B00000X Midwife (Licence: OR 202006863) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 202006864) | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2025-01-06 |