NPI | 1184891707 |
---|---|
Former Name | SONIA VAN DYNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 1780) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 17609) |
176B00000X Midwife (Licence: CA 1780) | |
Enumeration Date | 2008-05-13 |
Last Update Date | 2019-05-03 |