| NPI | 1326729880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95030152) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60865814) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95375813) | |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2024-12-10 |