| NPI | 1164049904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95023995) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95097816) |
| Enumeration Date | 2020-06-27 |
| Last Update Date | 2025-03-14 |