| NPI | 1336694462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TN 25157) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004746) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2022-03-22 |