NPI | 1174829980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5009109) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5009109) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5009109) | |
Enumeration Date | 2011-01-27 |
Last Update Date | 2024-07-15 |