| NPI | 1174120836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 236148) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95015401) |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |