NPI | 1053973131 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 202101213NP-PP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA 6094162) |
Enumeration Date | 2019-06-28 |
Last Update Date | 2023-12-04 |