| NPI | 1083659833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 12490) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 1500) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2015-01-16 |