| NPI | 1790714947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95043902) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-005975) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-18 |