| NPI | 1235434119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 22230) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IA 109633) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CA 826434) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C-109633) | |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2024-06-05 |