| NPI | 1316378821 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.0123515) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NM 651) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2020-09-10 |