| NPI | 1902416332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95015040) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95015040) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2026-08-24 |