| NPI | 1548822349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95015202) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95176701) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2020-08-27 |