NPI | 1871645358 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA NP20617) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP3994) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2011-05-01 |