NPI | 1043779986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95009688) |
Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: CA 691016) |
176B00000X Midwife (Licence: CA 235962) | |
2085U0001X Radiology, Diagnostic Ultrasound (Licence: CA 81336) | |
Enumeration Date | 2019-03-19 |
Last Update Date | 2019-03-19 |