| NPI | 1689254286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95021547) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 383206) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2351459) | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2023-02-20 |