| NPI | 1780296350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95024438) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN217367) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-04-24 |