| NPI | 1104138114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 19109) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: CA 658672) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2019-06-18 |