| NPI | 1902950595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WA AP30002542) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA RN00108572) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2021-06-22 |