| 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 |