NPI | 1326422080 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 586425-1) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: NY 586425-1) |
Enumeration Date | 2015-07-13 |
Last Update Date | 2015-07-13 |