NPI | 1285168799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R215971) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA RN670201) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2017-04-12 |