NPI | 1376892141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ AP4599) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ RN146373) |
Enumeration Date | 2012-09-07 |
Last Update Date | 2020-05-14 |