| NPI | 1578934014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MT NUR-APRN-LIC-125098) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95003025) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2025-04-10 |