NPI | 1174799464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA X331266) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 139550) |
Enumeration Date | 2008-05-06 |
Last Update Date | 2017-10-27 |