| NPI | 1902623937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95032883) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA 95032883) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 209030714) | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2026-05-18 |