| NPI | 1730130204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NPF459) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA RN316641/PNP459) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-10-17 |