| NPI | 1740696731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95008163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95147064) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2021-12-06 |