| NPI | 1518308352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95004530) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382440) |
| 163W00000X Registered Nurse (Licence: NY 654308) | |
| 163W00000X Registered Nurse (Licence: CA 95097019) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2016-12-13 |