| NPI | 1588183099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008010) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 235898) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2023-07-13 |