| NPI | 1659479657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: CA 404674) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 7602) |
| 367A00000X Advanced Practice Midwife (Licence: CA 1202) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |