NPI | 1356347017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R18721) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R18721) |
Enumeration Date | 2005-06-27 |
Last Update Date | 2010-01-28 |