| NPI | 1144947680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95021103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95047141) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2022-10-25 |