| NPI | 1902318199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008111) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA 95008111) |
| Enumeration Date | 2017-10-29 |
| Last Update Date | 2018-03-06 |