| NPI | 1144420761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 200550070np) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP15941) |
| Enumeration Date | 2007-07-21 |
| Last Update Date | 2010-08-10 |