NPI | 1396337580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 202119632) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 5014130) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-02-09 |
Last Update Date | 2021-10-17 |