| NPI | 1104009208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 17583) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 641288) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2022-02-11 |