| NPI | 1891034328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95002831) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024170555) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2016-01-06 |