| NPI | 1831627181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA NP95006395) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95006395) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2023-03-07 |