| NPI | 1366864118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95026281) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 111447) |
| 163W00000X Registered Nurse (Licence: CA 95268460) | |
| 163W00000X Registered Nurse (Licence: NE 74823) | |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2026-04-02 |