| NPI | 1235324062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: CA 670) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 2120) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 6299) | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2012-06-27 |