NPI | 1255591301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: HI APRN1848) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R174608) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2015-12-15 |