| NPI | 1720005648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 12525) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 556915) |
| 367A00000X Advanced Practice Midwife (Licence: CA NMF1502) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2023-12-05 |