NPI | 1083226179 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1-153263) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: AL 1-153263) |
163WP2201X Registered Nurse, Ambulatory Care (Licence: AL 1-153263) | |
Enumeration Date | 2020-08-19 |
Last Update Date | 2021-06-17 |