| NPI | 1336511831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95003217) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 751840) |
| 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: CA 4388) | |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |