NPI | 1043438385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN9164697) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL 9164697) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2021-03-03 |