| NPI | 1033123070 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 282858) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 282858) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-10-21 |