NPI | 1033235643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO 682) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 89855) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2021-04-30 |