| NPI | 1003493024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95017197) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95218421) |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-04-22 |