| NPI | 1609086651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 15247) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 604243) |
| 363L00000X Nurse Practitioner (Licence: CA 15247) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2016-08-08 |