NPI | 1295231512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN APN023831) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 23831) |
Enumeration Date | 2018-04-04 |
Last Update Date | 2022-07-29 |