NPI | 1306238654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WY 31544.1227) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28154600A) |
Enumeration Date | 2015-02-24 |
Last Update Date | 2015-02-24 |