| NPI | 1326047499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NPF 5669) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA RN262580) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2014-08-11 |