NPI | 1124033634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 200550066NP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 098000561RN) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2017-11-07 |