| NPI | 1457688616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 19186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 658841) |
| 364S00000X Clinical Nurse Specialist (Licence: CA 3242) | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2014-04-18 |