| NPI | 1588666440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP14585) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA NP14585) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2012-01-30 |