NPI | 1144832874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ RNP304009) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: AZ RN128057) |
Enumeration Date | 2020-08-24 |
Last Update Date | 2024-05-06 |