| NPI | 1104934033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA NP10593) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 1727) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-06-19 |