| NPI | 1235268939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 6756) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 231165) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2016-12-21 |