| NPI | 1881242782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95016143) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95217744) |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2023-07-27 |