NPI | 1972751188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NH 033688-23) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 168520) |
Enumeration Date | 2008-08-29 |
Last Update Date | 2021-03-17 |