| NPI | 1013311620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001548) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95039080) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95001548) | |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2025-08-26 |