| NPI | 1427625300 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95017940) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95017940) | 
| 367A00000X Advanced Practice Midwife (Licence: CA 236193) | |
| Enumeration Date | 2021-06-08 | 
| Last Update Date | 2022-06-15 |