NPI | 1942514062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 20179) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CT 778269) |
Enumeration Date | 2010-07-30 |
Last Update Date | 2017-05-10 |