| NPI | 1831379627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 19642) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 645189) |
| 163W00000X Registered Nurse (Licence: CA 645189) | |
| 163WS0200X Registered Nurse, School (Licence: CA 645189) | |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2015-03-26 |