| NPI | 1811016579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95007939) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 95007939) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP6895) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 10018872) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP81654) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-07-25 |