| NPI | 1851873285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95010543) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 643818) |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2019-01-14 |