NPI | 1225750771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 37543) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 194797) |
Enumeration Date | 2022-09-12 |
Last Update Date | 2024-11-19 |