NPI | 1467628834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9299791) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NJ 26NJ00113700) |
Enumeration Date | 2008-05-05 |
Last Update Date | 2012-02-27 |