NPI | 1447302351 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 322238) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 35882) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 14845) | |
Enumeration Date | 2007-01-18 |
Last Update Date | 2007-07-08 |