| NPI | 1033526900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1057546) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95054780) |
| 163W00000X Registered Nurse (Licence: NY 22 672826) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95002359) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 22 672826) | |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2020-10-08 |