| NPI | 1508882226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 636) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 259066) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 259066) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-10-07 |