NPI | 1083968226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9277140) |
Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: FL 9277140) |
Enumeration Date | 2012-11-08 |
Last Update Date | 2020-10-20 |