NPI | 1063433142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R063555) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R063555) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2013-03-30 |