NPI | 1518041284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R212977) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH NP10735) |
363L00000X Nurse Practitioner (Licence: NJ 26NJ00103700) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2014-09-11 |