| NPI | 1639590037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21478) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 638249) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 3700) | |
| 367A00000X Advanced Practice Midwife (Licence: CA 1986) | |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |