NPI | 1467852533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 634457) |
Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 634457) |
Enumeration Date | 2014-08-26 |
Last Update Date | 2014-08-26 |