NPI | 1851580567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A03029) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: AR R69582) |
Enumeration Date | 2007-10-18 |
Last Update Date | 2007-10-18 |