| NPI | 1205181526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95009958) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN781915) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2024-10-22 |