NPI | 1346852696 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 300834) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN200309) |
Enumeration Date | 2020-08-18 |
Last Update Date | 2024-12-17 |