| NPI | 1427147040 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 9988) | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP9988) | 
| Enumeration Date | 2006-10-12 | 
| Last Update Date | 2025-03-25 |