NPI | 1427616986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A154365) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 112780) |
Enumeration Date | 2019-05-30 |
Last Update Date | 2023-02-10 |