| NPI | 1184032427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95009175) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9312270) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209013704) | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2018-06-28 |