NPI | 1437238318 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 108437) |
Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MA 108437) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2007-08-18 |