| NPI | 1568242345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95026721) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95026721) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-01-05 |