| NPI | 1811231616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 19252) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 675937) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 3244) | |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2022-07-28 |