| NPI | 1134134802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA NP # 11714) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA RN # 520580) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2022-01-03 |