NPI | 1285764829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3005162) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 5162P) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2024-08-02 |