| NPI | 1871688960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA NP 4079) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NPF 4079) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2016-08-03 |