| NPI | 1194292763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95009713) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R265873) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11031756) | |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2024-05-15 |