NPI | 1518050897 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP 19804) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH RN-187859) |
Enumeration Date | 2006-10-01 |
Last Update Date | 2022-01-27 |