NPI | 1720174519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP0130) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ RN072511) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2013-05-22 |