| NPI | 1902284656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95001128) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 760823) |
| 163W00000X Registered Nurse (Licence: CA 95001128) | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2016-11-06 |