| NPI | 1245604354 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 235771)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 846879)  | 
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95003376)  | |
| Enumeration Date | 2015-12-01 | 
| Last Update Date | 2015-12-01 |