NPI | 1821160359 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2006028080) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 45956) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2019-01-14 |