NPI | 1356689871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 22243) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 22243) |
Enumeration Date | 2013-01-17 |
Last Update Date | 2016-11-17 |