| NPI | 1124156617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP11118) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 499321) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2023-08-02 |