NPI | 1033708367 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11001977) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL APRN11001977) |
Enumeration Date | 2021-01-12 |
Last Update Date | 2022-03-14 |