NPI | 1285174482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11005575) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95011029) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R224276) | |
Enumeration Date | 2017-03-07 |
Last Update Date | 2024-08-20 |