| NPI | 1790947315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP18210) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN652056) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-07-01 |