| NPI | 1720429699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95000554) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 828252) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2014-09-15 |