NPI | 1245064054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LS0200X Nurse Practitioner, School (Licence: SC 29270) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 29270) |
Enumeration Date | 2024-08-26 |
Last Update Date | 2024-09-08 |