NPI | 1831438399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 22649) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 2020) |
Enumeration Date | 2013-02-04 |
Last Update Date | 2022-01-27 |