| NPI | 1548338817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 16129) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 1708) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2007-07-08 |