| NPI | 1407057334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA RN 607808) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA PNP 15067) |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA CNS 2088) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-02-11 |