NPI | 1144261124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R111998) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R111998) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2018-03-17 |