| NPI | 1508137753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 18753) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 725511) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2013-09-20 |