| NPI | 1235256603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse Pediatrics (Licence: CA RN148585) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA NPF3603) |
| 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: CA CNS2167) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-07-08 |