NPI | 1346209897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 200257) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN200257) |
Enumeration Date | 2006-03-22 |
Last Update Date | 2013-09-27 |