NPI | 1184504904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 202530030) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 202530030) |
Enumeration Date | 2025-09-03 |
Last Update Date | 2025-09-03 |