NPI | 1164513321 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP7787) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA 351140) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2023-08-06 |