| NPI | 1558835991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95010707) |
| Additional Taxonomies | 176B00000X Midwife |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |