NPI | 1063567543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024167200) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP181273) |
Enumeration Date | 2007-01-24 |
Last Update Date | 2024-05-07 |