| NPI | 1104105691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: NY F001543) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA NMW1957) |
| 163W00000X Registered Nurse (Licence: CA NMW1957) | |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2014-04-13 |