NPI | 1174361133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704319351) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704319351) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4704319351) | |
Enumeration Date | 2024-07-16 |
Last Update Date | 2024-10-30 |