NPI | 1316266448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP9235496) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9235496) |
Enumeration Date | 2010-05-28 |
Last Update Date | 2022-03-18 |