| NPI | 1831705714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95025316) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60848016) |
| 163W00000X Registered Nurse (Licence: CA 95311353) | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2023-08-08 |