NPI | 1154754000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209014171) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71004560A) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71004560B) | |
Enumeration Date | 2013-08-14 |
Last Update Date | 2016-12-02 |