NPI | 1891178000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN23228181) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382616) |
163WP0200X Registered Nurse, Pediatrics (Licence: PA RN656119) | |
163WP0200X Registered Nurse, Pediatrics (Licence: NY 657218) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP016127) | |
Enumeration Date | 2015-07-07 |
Last Update Date | 2018-11-15 |