NPI | 1285822163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN11001410) |
Additional Taxonomies | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: IL 209006656) |
Enumeration Date | 2007-10-04 |
Last Update Date | 2019-08-01 |