NPI | 1780887299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 16560) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 16560) |
363L00000X Nurse Practitioner (Licence: MI 4704221521) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704221521) | |
Enumeration Date | 2007-06-11 |
Last Update Date | 2016-11-22 |