| NPI | 1861519233 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NPF14321)  | 
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA RN583581)  | 
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA CNS1906)  | |
| Enumeration Date | 2007-03-23 | 
| Last Update Date | 2007-07-18 |