NPI | 1770674020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: LA AP06000) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP06000) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2017-07-11 |