NPI | 1063796019 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 791312) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 791312) |
Enumeration Date | 2011-10-07 |
Last Update Date | 2011-10-07 |