NPI | 1528475951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R202572) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R202572) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2014-07-17 |