NPI | 1811016579 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95007939) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 95007939) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP6895) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 10018872) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP81654) | |
Enumeration Date | 2007-03-27 |
Last Update Date | 2024-07-25 |