NPI | 1649483686 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: NV 4866) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV apn00140) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2007-07-08 |