| 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 | 2023-08-02 |