NPI | 1407153018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209009289) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 20172) |
Enumeration Date | 2011-02-16 |
Last Update Date | 2012-03-22 |