| NPI | 1699840868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 583477) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 15059) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 2117) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-07-08 |