| NPI | 1508816984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP11792) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA RN 578554) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-07-14 |