| NPI | 1609299791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: CA 334754) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 21467) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-02-03 |