| NPI | 1558409581 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 319) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 4553) | 
| Enumeration Date | 2007-02-02 | 
| Last Update Date | 2007-10-27 |