NPI | 1093736928 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 200550071NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 200341520RN) |
Enumeration Date | 2006-07-23 |
Last Update Date | 2007-07-08 |