| NPI | 1740710524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95009060) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 722416) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2018-05-23 |