| NPI | 1992932974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95009513) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382034) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95009513) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2024-03-16 |