NPI | 1033137229 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 019403-23) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP81670) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2022-02-22 |