| NPI | 1033559307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000794) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 845690) |
| 163W00000X Registered Nurse (Licence: NY 657489) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382437) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2023-04-26 |