| NPI | 1962895797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95010469) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95099659) |
| 367A00000X Advanced Practice Midwife (Licence: CA 236003) | |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2019-08-07 |