NPI | 1033095740 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95035702) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP95035702) |
Enumeration Date | 2025-08-15 |
Last Update Date | 2025-09-18 |