| NPI | 1831496058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 21642) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ AP3950) |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2022-02-07 |