| NPI | 1467666115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NPF10810) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA RN 430537) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |