NPI | 1962529339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: CA RN283520) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NPF3498) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2007-07-08 |