NPI | 1477820033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 21022) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 732596) |
Enumeration Date | 2011-11-28 |
Last Update Date | 2013-10-17 |