| NPI | 1578731147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 17768) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 17768) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 661686) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 4436) | |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2016-01-08 |