NPI | 1881954618 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201392700NP-PP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60261020) |
Enumeration Date | 2012-05-27 |
Last Update Date | 2013-11-19 |