| NPI | 1912094467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP 12397) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 409123) |
| 367A00000X Advanced Practice Midwife (Licence: CA NMW 1490) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2011-08-11 |