| NPI | 1205273018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 10251) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 10251) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CA 484758) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2015-10-18 |