NPI | 1376769562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9216529) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60031358) |
363L00000X Nurse Practitioner (Licence: FL ARNP9216529) | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2011-03-09 |