NPI | 1497142533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 190108) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 19687) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2016-07-19 |