| NPI | 1356167191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: CA 95031576) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: CA 95089153) |
| Enumeration Date | 2024-11-26 |
| Last Update Date | 2024-11-26 |