NPI | 1063962611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN 27279) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP9024) |
Enumeration Date | 2016-10-06 |
Last Update Date | 2022-02-01 |