| NPI | 1841714136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95007053) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 235877) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |