NPI | 1447792197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: SC 22822) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209.014979) |
Enumeration Date | 2016-11-11 |
Last Update Date | 2019-09-06 |