NPI | 1023681509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: CO 0997490) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71011352A) |
Enumeration Date | 2021-07-21 |
Last Update Date | 2022-05-13 |