NPI | 1407616568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ID 55187) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ID 202427228) |
Enumeration Date | 2024-03-19 |
Last Update Date | 2025-04-14 |