NPI | 1134620073 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP11076) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN137940) |
Enumeration Date | 2018-02-26 |
Last Update Date | 2018-03-29 |