| NPI | 1346442902 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 16317)  | 
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 432297)  | 
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 2439)  | |
| Enumeration Date | 2007-06-04 | 
| Last Update Date | 2020-06-10 |