NPI | 1790886737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 13301) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP13301) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2015-10-09 |