| NPI | 1275105942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 95017706) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95017706) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2023-08-28 |