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 |