NPI | 1861628893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 001625) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F380181-1) |
Enumeration Date | 2009-06-04 |
Last Update Date | 2009-06-04 |