NPI | 1407517758 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209024533) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 209.024533) |
Enumeration Date | 2022-01-07 |
Last Update Date | 2022-03-24 |