NPI | 1316608599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11014745) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH 0029544) |
Enumeration Date | 2022-01-10 |
Last Update Date | 2022-01-10 |