| NPI | 1538826441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95018573) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95096745) |
| Enumeration Date | 2021-11-26 |
| Last Update Date | 2024-03-13 |