| NPI | 1306170519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA NP16662) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: CA CNS2613) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-23 |