NPI | 1306198221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9275614) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9275614) |
Enumeration Date | 2012-10-03 |
Last Update Date | 2023-11-08 |