| NPI | 1942514062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 20179) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CT 778269) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2017-05-10 |