NPI | 1346716941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA 95010274) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010274) |
Enumeration Date | 2018-10-22 |
Last Update Date | 2023-04-28 |