| NPI | 1346965167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95014205) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: CA 502631) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |