NPI | 1518519305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95012078) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95012078) |
Enumeration Date | 2019-07-11 |
Last Update Date | 2020-06-29 |