| NPI | 1275053811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95013206) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95145098) |
| 163W00000X Registered Nurse (Licence: NY 716780-1) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382814-1) | |
| Enumeration Date | 2017-06-25 |
| Last Update Date | 2021-09-30 |