NPI | 1336541549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2014023964) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2014023964) |
Enumeration Date | 2014-09-18 |
Last Update Date | 2024-04-25 |