| NPI | 1669722781 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 22494)  | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 716086)  | 
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2012-09-17 | 
| Last Update Date | 2025-03-14 |