NPI | 1124156617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP11118) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 499321) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2023-08-02 |