NPI | 1699538975 |
---|---|
Former Name | COLLEEN ANNE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 236411) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95028227) |
Enumeration Date | 2024-01-31 |
Last Update Date | 2024-01-31 |