NPI | 1134802069 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0200X Registered Nurse, Pediatrics (Licence: CA 95258551) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TX 929940) |
163WP0200X Registered Nurse, Pediatrics (Licence: NY 790090) | |
Enumeration Date | 2023-08-08 |
Last Update Date | 2023-08-08 |