NPI | 1003904418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 14548) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 534431) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2024-07-11 |