NPI | 1306088604 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 611727) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP3389) |
Enumeration Date | 2009-04-01 |
Last Update Date | 2019-07-10 |