NPI | 1588769814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA TP001032D) |
Additional Taxonomies | 163WP0218X Registered Nurse, Pediatric Oncology (Licence: PA RN251937L) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2014-12-23 |