| 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 |