NPI | 1942274022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MA 196053) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 196053) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2014-02-04 |