NPI | 1407099369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 300099) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 300099) |
Enumeration Date | 2009-04-08 |
Last Update Date | 2023-05-04 |