| NPI | 1285297192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95012270) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95012270) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95012270) | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2023-06-02 |