| NPI | 1528693116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95015792) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60785138) |
| 163W00000X Registered Nurse (Licence: CA 826066) | |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-11-16 |