NPI | 1972677409 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95010725) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 110266) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2019-03-07 |