| NPI | 1720429152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95015296) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL RN9315548) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95011121) | |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2022-03-02 |