| NPI | 1487908463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95002619) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC NP200006734) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2022-07-01 |