| NPI | 1023737343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 776531) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 776531) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |