| NPI | 1609903855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP13183) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 573759) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2014-04-01 |