| NPI | 1558708677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016924) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 821450) |
| 163W00000X Registered Nurse (Licence: DE L1-0042630) | |
| 163W00000X Registered Nurse (Licence: PA RN642361) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95016924) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN235660) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2023-08-10 |