NPI | 1962839357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 23745) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 2072) |
Enumeration Date | 2013-10-01 |
Last Update Date | 2017-04-18 |