| NPI | 1598928558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201393662NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP18259) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-02-08 |