NPI | 1821541178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP95003178) |
Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA CNS4380) |
Enumeration Date | 2016-08-03 |
Last Update Date | 2016-11-16 |