| NPI | 1366766453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP15098) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN570791) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |