NPI | 1871945881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F382731-1) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 701197-1) |
Enumeration Date | 2016-07-01 |
Last Update Date | 2017-05-05 |