| NPI | 1932267150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: CA NPF16733) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 137989) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NPF16733) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2022-04-13 |