NPI | 1508217092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95009113) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 778995) |
163W00000X Registered Nurse (Licence: NY 693805) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382730) | |
Enumeration Date | 2016-06-26 |
Last Update Date | 2023-08-02 |