NPI | 1609379445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95007106) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA NP95007106) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA NP95007106) | |
Enumeration Date | 2018-03-16 |
Last Update Date | 2024-03-15 |