| NPI | 1619375128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95001832) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95049019) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95001832) | |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2024-08-22 |