| NPI | 1376972174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000092) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: HI APRN-3685) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95000092) | |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2026-02-19 |