| NPI | 1699459032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 95026082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95084871) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2025-01-30 |