NPI | 1215088992 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ0000145) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA RN263329L) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2007-07-08 |