| NPI | 1225689722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OR 202104695NP-PP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95012861) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2024-03-11 |