| NPI | 1487946885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95012732) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 617686) |
| 163W00000X Registered Nurse (Licence: CA 95188732) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382194) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2020-02-10 |