| NPI | 1083026512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000354) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 814752) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-07-02 |