NPI | 1871855940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 85837) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 641070) |
Enumeration Date | 2012-06-13 |
Last Update Date | 2012-06-13 |