NPI | 1316090202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP04195) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 713158) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: LA RN104466-AP04195) | |
Enumeration Date | 2007-01-22 |
Last Update Date | 2023-03-14 |