NPI | 1093046518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 4110) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 4110) |
Enumeration Date | 2010-01-22 |
Last Update Date | 2021-02-01 |