| NPI | 1013434158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95007007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 824662) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |