NPI | 1033415815 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 155563) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 155563) |
Enumeration Date | 2011-01-27 |
Last Update Date | 2018-01-24 |