NPI | 1356375935 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ND R32307) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RN.242052-COA1) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2007-07-08 |