NPI | 1639192453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 488157) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 488157) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 13006) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2025-09-11 |