| NPI | 1992564918 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 236396) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95028501) | 
| Enumeration Date | 2024-03-14 | 
| Last Update Date | 2024-03-14 |