| NPI | 1134523715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CA 13135) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 13135) |
| 367A00000X Advanced Practice Midwife (Licence: CA 1630) | |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2014-10-10 |