| NPI | 1568163962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95024847) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV 860651) |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-07-10 |