| NPI | 1023659463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA NPF95017623) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: CA NPF95017623) |
| 363LF0000X Nurse Practitioner Family (Licence: CA NPF95017623) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 26530) | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2024-04-01 |