NPI | 1417001165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MD D0063317) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 267153) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2023-07-07 |