| NPI | 1003954595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 5511) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TN 05511) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-12-04 |