| NPI | 1043878895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95008714) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 95008714) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-08-29 |