| NPI | 1184132367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95008580) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95151793) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-08-23 |