| NPI | 1902607468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 95411867) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95411867) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: OK 221437) | |
| 163WS0200X Registered Nurse, School (Licence: CA 95411867) | |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |