NPI | 1801126495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN0000014485) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.007946) |
Enumeration Date | 2010-01-05 |
Last Update Date | 2010-10-15 |