| NPI | 1457633091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 21110) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 1955) |
| 163W00000X Registered Nurse (Licence: CA 753585) | |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2024-11-26 |