| NPI | 1912235516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: OR 200950160NP NMNP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 200950160NP NMNP-PP) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2015-04-03 |