| NPI | 1235637356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008127) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: CA 829275) |
| 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: CA 95008127) | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-03-20 |