| NPI | 1508217092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95009113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 778995) |
| 163W00000X Registered Nurse (Licence: NY 693805) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382730) | |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2023-08-02 |