NPI | 1073071858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71013352A) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382952) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 95010722) | |
Enumeration Date | 2019-03-11 |
Last Update Date | 2022-12-14 |