| NPI | 1598261166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008272) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95149003) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95008272) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-03-13 |