NPI | 1356335657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 300060) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 300060) |
Enumeration Date | 2005-09-01 |
Last Update Date | 2011-02-28 |