NPI | 1427519453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11003294) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL APRN11003294) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 201912784) | |
Enumeration Date | 2019-03-31 |
Last Update Date | 2021-01-13 |