NPI | 1073645966 |
---|---|
Other Name | JENNY JOAN SANFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 587187) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 587187) |
364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 587187) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2022-01-11 |