| NPI | 1255809372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95042368) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95042368) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA NP950147) | |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2020-08-07 |