| NPI | 1952657553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 20239) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 647443) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 3534) | |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2014-04-14 |