NPI | 1023088614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: VA 0024055795) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: VA 0001055795) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2008-07-21 |