NPI | 1326249301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0200X Clinical Nurse Specialist Pediatrics (Licence: CA 2382) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA 16155) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2014-01-07 |