| NPI | 1619003928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 8485) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NV RN80724) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NV APRN001811) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2019-05-16 |