NPI | 1083309223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1111159) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX 1111159) |
Enumeration Date | 2023-04-05 |
Last Update Date | 2023-04-05 |