| NPI | 1245872878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95033881) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: CA 836530) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2025-08-01 |