NPI | 1104572122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NC 5018319) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5018319) |
Enumeration Date | 2022-02-28 |
Last Update Date | 2023-12-06 |