NPI | 1598813206 |
---|---|
Former Name | KATHLEEN DIANE STANLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP16511) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA RN413030) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2007-07-08 |