NPI | 1518270610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 336437) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 336437) |
Enumeration Date | 2010-07-17 |
Last Update Date | 2011-11-17 |