| NPI | 1992112874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA 95002742) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 623127) |
| 363L00000X Nurse Practitioner (Licence: CA 95002742) | |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2018-01-26 |