NPI | 1215683420 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F383372) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP145008) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CO C-APN.0002392-C-NP) | |
Enumeration Date | 2022-02-25 |
Last Update Date | 2022-02-25 |