| NPI | 1821142803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 14157) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV 001436) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2016-10-07 |