| NPI | 1902805559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 343851) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CA 565) |
| Enumeration Date | 2005-07-17 |
| Last Update Date | 2016-12-01 |