| NPI | 1114604006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95025591) |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: CA 95025591) |
| 363LN0000X Nurse Practitioner Neonatal (Licence: CA 95025591) | |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-02-06 |