NPI | 1912183245 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: NY 3857421) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: NY 3857421) |
Enumeration Date | 2008-01-16 |
Last Update Date | 2008-01-16 |