NPI | 1336812593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA RN2337692) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 9805) |
Enumeration Date | 2021-07-26 |
Last Update Date | 2024-10-25 |