| NPI | 1083364640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 104979831) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| Enumeration Date | 2022-03-26 |
| Last Update Date | 2023-10-11 |