| NPI | 1073883781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 20979) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 652635) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-02-21 |