| NPI | 1497151435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95001022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 596937) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |