| NPI | 1073403515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95168473) |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-08-20 |