| NPI | 1285075804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95000678) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 648293) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2024-03-06 |