| NPI | 1497416614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95019693) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA 95019693) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95019693) | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2025-11-12 |