| NPI | 1285990143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20974) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 20974) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CA 631616) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2023-10-05 |