NPI | 1629018882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9191039) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9191039) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2016-11-15 |