| NPI | 1912019100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 758) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA 433036) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 12926) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-01-05 |