| NPI | 1962508499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: OR 200150071NP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200150071NP) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2012-01-11 |