| NPI | 1780134882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95018448) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: CA 95053091) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2021-11-22 |