| NPI | 1407517709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95018364) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95018364) |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2026-10-13 |