| NPI | 1366826547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95004203) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 689654) |
| 163W00000X Registered Nurse (Licence: CA 95082813) | |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2016-07-28 |