| NPI | 1023283470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA NMW1720) |
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: CA RN482477) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-05-20 |