| NPI | 1396151213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95002328) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 677264-1) |
| 163W00000X Registered Nurse (Licence: CA 95051973) | |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2025-11-18 |