| NPI | 1518340751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95004133) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 6894281) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2022-05-19 |