| NPI | 1811209679 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 1884)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 682979)  | 
| 363L00000X Nurse Practitioner (Licence: CA 19699)  | |
| Enumeration Date | 2010-07-09 | 
| Last Update Date | 2021-12-01 |