| NPI | 1033873336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95013898) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 95013898) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2025-08-15 |