NPI | 1750520268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704184295) |
Additional Taxonomies | 163WS0121X Registered Nurse, Plastic Surgery (Licence: MI 4704184295) |
363L00000X Nurse Practitioner (Licence: MI 4704184295) | |
Enumeration Date | 2009-02-09 |
Last Update Date | 2013-02-28 |