NPI | 1659481117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN271341) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 379) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2018-03-17 |