| NPI | 1063579365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 1456) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 11854) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2021-12-30 |