| NPI | 1639546245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 23488) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 816893) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95002846) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2023-04-19 |