| NPI | 1891251054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: CA 235957) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95009127) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |