| NPI | 1760824353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 22866) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 742347) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2014-08-07 |