| NPI | 1912092313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR OR000027332N5) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: OR AC00497) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-17 |