NPI | 1033933072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MD AC007182) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: DE L1-0072111) |
Enumeration Date | 2024-11-14 |
Last Update Date | 2025-01-03 |