| NPI | 1134332604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 2384) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 308584) |
| 367A00000X Advanced Practice Midwife (Licence: CA 434) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-06-04 |