| NPI | 1285994442 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 21166) | 
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 556433) | 
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 3669) | |
| Enumeration Date | 2012-05-22 | 
| Last Update Date | 2023-03-07 |