| NPI | 1396361770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95024705) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95192075) |
| 163W00000X Registered Nurse (Licence: CT 153484) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 12.008973) | |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-04-12 |