| NPI | 1235295825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 5111) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 379) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2021-12-30 |