NPI | 1295926947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F380724) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F303977) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-07 |