NPI | 1083954416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK 75260) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX NP847716) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201401241NP-PP) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2013042963) | |
Enumeration Date | 2013-02-21 |
Last Update Date | 2021-07-13 |