| NPI | 1578547725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 16189) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 611) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP16189) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2007-07-08 |