NPI | 1225689722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 202104695NP-PP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95012861) |
Enumeration Date | 2019-09-25 |
Last Update Date | 2024-03-11 |