NPI | 1881378925 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: CA 4650) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 694189) |
Enumeration Date | 2023-06-09 |
Last Update Date | 2023-06-09 |