NPI | 1902232556 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2015002669) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 76725) |
Enumeration Date | 2013-09-15 |
Last Update Date | 2015-04-27 |