NPI | 1316215932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 21165) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP21165) |
Enumeration Date | 2011-12-09 |
Last Update Date | 2025-08-06 |