NPI | 1083370100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR 122067) |
Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AR 122067) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: AR 122067) | |
Enumeration Date | 2021-11-12 |
Last Update Date | 2022-02-17 |