| NPI | 1093379869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 9501532) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95172076) |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2020-11-12 |