| NPI | 1932571643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008097) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 168811) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN 20607) | |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2018-02-06 |