| NPI | 1659748242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95002755) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 824087) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2020-07-06 |