| NPI | 1184947491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 407447) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 407447) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 407447) | |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 19) | |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |