NPI | 1538620638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95033968) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2284123) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MA RN2284123) | |
Enumeration Date | 2019-03-29 |
Last Update Date | 2025-05-21 |