NPI | 1033782719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R211756) |
Additional Taxonomies | 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: MD R211756) |
Enumeration Date | 2021-07-21 |
Last Update Date | 2021-08-23 |