| NPI | 1679762595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA NMW1783) |
| Additional Taxonomies | 176B00000X Midwife (Licence: CA NMW1783) |
| 363L00000X Nurse Practitioner (Licence: CA 17578) | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2022-09-21 |