NPI | 1366591927 |
---|---|
Former Name | VALERIE LYNN KIRK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 474916) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 16206) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2007-07-08 |