| NPI | 1124423082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95004226) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY f38261) |
| 163W00000X Registered Nurse (Licence: NY 691360) | |
| 163W00000X Registered Nurse (Licence: CA 95090402) | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2016-05-27 |