NPI | 1144605247 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL AR9343847) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9343847) |
Enumeration Date | 2015-07-30 |
Last Update Date | 2018-06-17 |