NPI | 1619003928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 8485) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NV RN80724) |
163WP0200X Registered Nurse, Pediatrics (Licence: NV APRN001811) | |
Enumeration Date | 2007-02-23 |
Last Update Date | 2019-05-16 |