NPI | 1801821210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 4385P) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R134424) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2008-09-18 |