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 |