| NPI | 1265424121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 13187) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: CA 393917) |
| 367A00000X Advanced Practice Midwife (Licence: CA 548) | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2015-03-10 |