| NPI | 1588004840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95000683) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657314) |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2024-03-04 |