NPI | 1629198932 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 18021) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381881) |
Enumeration Date | 2007-03-30 |
Last Update Date | 2009-01-09 |