NPI | 1194095125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA RN108921-AP06666) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A005238) |
Enumeration Date | 2012-01-06 |
Last Update Date | 2022-12-29 |