NPI | 1700012697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9240053) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9240053) |
Enumeration Date | 2009-06-05 |
Last Update Date | 2016-04-26 |