| NPI | 1487151346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95008871) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95008871) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95008871) | |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |