NPI | 1215257696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 16038) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 234624) |
Enumeration Date | 2010-06-08 |
Last Update Date | 2010-06-08 |