| NPI | 1477200954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95019855) |
| Additional Taxonomies | 176B00000X Midwife |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-04 |