NPI | 1013610971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.028195) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: OH 501051) |
Enumeration Date | 2023-03-22 |
Last Update Date | 2023-09-05 |