| NPI | 1992839781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: OR 594879) |
| Additional Taxonomies | 261QB0400X Clinic/Center Birthing (Licence: OR 07-1569) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2010-09-28 |