NPI | 1306466180 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95014920) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95106718) |
Enumeration Date | 2020-04-21 |
Last Update Date | 2020-07-14 |