NPI | 1104920206 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APN000973) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV RN55045) |
363L00000X Nurse Practitioner (Licence: NV APN000973) | |
Enumeration Date | 2006-09-11 |
Last Update Date | 2022-05-11 |