NPI | 1861623696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY 381956) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 403603) |
Enumeration Date | 2009-07-28 |
Last Update Date | 2011-01-27 |