| NPI | 1992581409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95025903) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95025903) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95025903) | |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-11-13 |