| NPI | 1689917213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA 130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 3358) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 3358) | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |