| NPI | 1508234659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95100699) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704295826) |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2019-02-04 |