| NPI | 1356360705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 276995) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 276995) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 3486) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP11460) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-11-19 |