NPI | 1043776453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95010415) |
Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA 95101022) |
176B00000X Midwife (Licence: CA 235993) | |
Enumeration Date | 2019-02-11 |
Last Update Date | 2024-10-02 |