| NPI | 1639796162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95016388) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: NM RN-87964) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2025-02-14 |