| NPI | 1477691814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 446938) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 446938) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2011-11-01 |