| NPI | 1780730044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA NP2686) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN235963) |
| 363L00000X Nurse Practitioner (Licence: CA NP2686) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2011-07-12 |