NPI | 1598261166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95008272) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95149003) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95008272) | |
Enumeration Date | 2018-04-03 |
Last Update Date | 2023-03-13 |