| NPI | 1417320235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95004745) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR17665400) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 20625) | |
| 163W00000X Registered Nurse (Licence: TN 192187) | |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2023-04-24 |