NPI | 1073631941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN59192) |
Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: DC RN59192) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2012-08-10 |