NPI | 1205060415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024169514) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN13239) |
Enumeration Date | 2009-05-04 |
Last Update Date | 2024-05-23 |