| NPI | 1043316714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: CA 556012) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: CA 14502) | |
| 367A00000X Advanced Practice Midwife (Licence: CA 1618) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2012-01-20 |