| NPI | 1922097385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 9597) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 385) |
| 367A00000X Advanced Practice Midwife (Licence: CA 116) | |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2007-07-08 |