| NPI | 1982000352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95001452) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 235680) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |