NPI | 1205340486 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA CNM04499) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95007803) |
Enumeration Date | 2017-11-26 |
Last Update Date | 2021-10-12 |