| NPI | 1467282996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95031534) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 95031534) |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-11-11 |