| NPI | 1609253731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95004277) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 691658) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2018-03-17 |