| NPI | 1578208534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA 235747) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95002879) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2023-05-11 |