| NPI | 1689745887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA NP12811) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP12811) |
| 163W00000X Registered Nurse (Licence: CA RN244710) | |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2014-06-20 |