| NPI | 1861965352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA 235992) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95010328) |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2023-01-24 |