NPI | 1093566234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WV 110897) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 110897) |
163W00000X Registered Nurse (Licence: PA RN711336) | |
163W00000X Registered Nurse (Licence: CA 95318268) | |
363L00000X Nurse Practitioner (Licence: PA SP029245) | |
Enumeration Date | 2024-03-27 |
Last Update Date | 2024-03-27 |