| NPI | 1285262139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95016874) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: TX 926216) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2021-10-04 |