NPI | 1578135323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95018131) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95211552) |
Enumeration Date | 2021-07-12 |
Last Update Date | 2021-08-19 |