| NPI | 1649610569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 21411) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 1978) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |