NPI | 1083936397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R185831) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MD R185831) |
Enumeration Date | 2010-02-28 |
Last Update Date | 2011-11-28 |