NPI | 1013197425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: CA 278962) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 278962) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 278962) | |
Enumeration Date | 2007-11-14 |
Last Update Date | 2007-11-14 |