| NPI | 1790243152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 236322) |
| Additional Taxonomies | 176B00000X Midwife (Licence: CA 236322) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95022909) | |
| 363L00000X Nurse Practitioner (Licence: CA NP95022909) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95022909) | |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2024-07-01 |