NPI | 1346442902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 16317) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 432297) |
364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 2439) | |
Enumeration Date | 2007-06-04 |
Last Update Date | 2020-06-10 |