| NPI | 1063792083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 1897) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 19938) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2016-05-03 |