| NPI | 1649667221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95010186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001249806) |
| 163W00000X Registered Nurse (Licence: CA 95175200) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024172335) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2024-10-16 |