NPI | 1366778367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN260988) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 2000950157NP) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60987833) | |
Enumeration Date | 2009-10-26 |
Last Update Date | 2022-10-06 |