| NPI | 1942640214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95000582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 661407) |
| 163W00000X Registered Nurse (Licence: CA 848690) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95000582) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382442) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2023-03-15 |