| NPI | 1952639312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR 217840) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN 733706) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP18634) | |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2022-03-14 |