NPI | 1912241860 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R213671) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD AC001095) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2018-07-24 |