| NPI | 1366589558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP5896) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: CA RN422323) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-08-02 |