| NPI | 1962643858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95034784) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: UT 5453251-4402) |
| 367A00000X Advanced Practice Midwife (Licence: CA 1928) | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2025-04-23 |