| NPI | 1386712412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 723888) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA RN107872) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2012-01-12 |