NPI | 1285994442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 21166) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 556433) |
364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 3669) | |
Enumeration Date | 2012-05-22 |
Last Update Date | 2023-03-07 |