| NPI | 1760700892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP20029) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN751535) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2021-02-02 |