NPI | 1790947315 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CA NP18210) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN652056) |
Enumeration Date | 2008-06-25 |
Last Update Date | 2008-07-01 |