NPI | 1730593989 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MS R852094) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA RN100625AP07799) |
Enumeration Date | 2014-06-16 |
Last Update Date | 2015-04-09 |