NPI | 1457513608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30004527) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 565879) |
Enumeration Date | 2008-06-30 |
Last Update Date | 2008-06-30 |