| NPI | 1720127194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 14754) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 622188) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2014-11-07 |