| NPI | 1760932883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 827615) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: GA RN224702) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CA 827615) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN224702) | |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 4511) | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |