| NPI | 1194096461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 22734) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 567165) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2014-11-14 |