NPI | 1295284743 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OK 134008) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 21865) |
Enumeration Date | 2016-09-26 |
Last Update Date | 2019-09-12 |