| NPI | 1740605443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95010966) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD 202684) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA RN654575) | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2020-09-02 |