| NPI | 1154165777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95031780) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95211102) |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2026-09-08 |