NPI | 1043680978 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95004255) |
Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 95004255) |
364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: PA SP015426) | |
Enumeration Date | 2015-10-05 |
Last Update Date | 2019-03-05 |