| NPI | 1922925700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95040007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95138412) |
| 163W00000X Registered Nurse (Licence: CT 140543) | |
| Enumeration Date | 2026-07-01 |
| Last Update Date | 2026-07-01 |