NPI | 1235256603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: CA RN148585) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NPF3603) |
364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA CNS2167) | |
Enumeration Date | 2007-03-23 |
Last Update Date | 2007-07-08 |