NPI | 1154812204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9302034) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9302034) |
Enumeration Date | 2018-05-24 |
Last Update Date | 2023-01-13 |