| NPI | 1558897611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95006603) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95103896) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-05-13 |