NPI | 1396840963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC APN281) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 281) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2023-03-07 |