| NPI | 1376136689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA 236173) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95016662) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2022-01-17 |