| NPI | 1750706263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95001230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2284708) |
| 163W00000X Registered Nurse (Licence: CA 845876) | |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2020-12-31 |