| NPI | 1457498065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP 5455) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA NMW 802) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-09 |