| NPI | 1093780421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 20031) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 581675) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2022-03-23 |