| NPI | 1467556886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 258783) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024164861) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 75151) | |
| 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: MO 2010023280) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5006032) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2014-04-16 |