| NPI | 1194404467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95034376) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95045009) |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2025-06-23 |