| NPI | 1356360705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP11460) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA N2008611) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-08-09 |