| 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 |