NPI | 1154869071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11021270) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE L1-0046109) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00714700) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ-0000322) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP017149) | |
Enumeration Date | 2017-02-11 |
Last Update Date | 2024-05-21 |