NPI | 1407927957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 488965) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 1346) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2022-02-11 |