| NPI | 1821280942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 10213) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI 601) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 378731) | |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: HI 50318) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-10-27 |