| NPI | 1013420868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95007902) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 235916) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2022-02-09 |