| NPI | 1053419069 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 785)  | 
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA 378607)  | 
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 5072)  | |
| Enumeration Date | 2006-09-21 | 
| Last Update Date | 2022-01-03 |