| NPI | 1144403981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 15163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 544362) |
| Enumeration Date | 2007-12-16 |
| Last Update Date | 2011-10-13 |