| NPI | 1063794584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 1423) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 12072) |
| Enumeration Date | 2011-09-10 |
| Last Update Date | 2016-04-01 |