| 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 |