| NPI | 1447302351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 322238) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 35882) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 14845) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |