| NPI | 1053952440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95013553) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: CA 95103636) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2023-06-08 |