| NPI | 1396240230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95027013) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OR 202008771RN) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-10-23 |