| NPI | 1093386591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95028389) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 329015) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2025-02-27 |