NPI | 1356631964 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: CA 644359) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 18654) |
Enumeration Date | 2011-04-15 |
Last Update Date | 2011-09-21 |