| NPI | 1689941064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 15382) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 546355) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 2180) | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |