NPI | 1336782143 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN11004537) |
Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: FL APRN11004537) |
Enumeration Date | 2019-10-24 |
Last Update Date | 2019-10-28 |