| NPI | 1184958696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 760114) |
| 367A00000X Advanced Practice Midwife (Licence: CA LM36) | |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2021-12-28 |