| NPI | 1598384653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 399050) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CA 399050) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 399050) | |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |