| NPI | 1164513321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA NP7787) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA 351140) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-08-06 |