NPI | 1861403396 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP524082) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP524082) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2008-05-16 |