NPI | 1063956456 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.017529) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 18529) |
Enumeration Date | 2016-12-05 |
Last Update Date | 2024-08-07 |