| NPI | 1720339484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: UT 8262278-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 828837) |
| 163W00000X Registered Nurse (Licence: MD R193155) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 22371) | |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2023-10-04 |