| NPI | 1194146696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 21650) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 1994) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |