NPI | 1841477726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP06671) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0024000058) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2016-06-09 |