| NPI | 1073961835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: HI APRN-4466) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95030545) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 1168226) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP60646357) | |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2024-08-08 |