| NPI | 1598882961 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health (Licence: CA NPF11774)  | 
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA RN 546703)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: CA NPF11774)  | |
| Enumeration Date | 2007-03-23 | 
| Last Update Date | 2007-07-26 |