NPI | 1356198451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: AZ 306825) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL RN9462808) |
Enumeration Date | 2024-05-06 |
Last Update Date | 2024-07-31 |