NPI | 1689730491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: MN R109126-7) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN R109126-7) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2007-07-08 |