NPI | 1982912150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD AC001884) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024168988) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1020929) | |
Enumeration Date | 2010-09-21 |
Last Update Date | 2019-10-21 |