NPI | 1043575780 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5005698) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 210237) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 1043575780) | |
Enumeration Date | 2012-07-09 |
Last Update Date | 2025-06-09 |