NPI | 1023696325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1036979) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA ARNP.AP.61146151) |
Enumeration Date | 2021-03-30 |
Last Update Date | 2024-06-24 |