| NPI | 1245749316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95023162) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1050848) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2024-12-20 |