NPI | 1609107655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: HI APRN2724) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP18767) |
Enumeration Date | 2010-01-14 |
Last Update Date | 2019-09-09 |