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 |