NPI | 1457591927 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL APRN9190205) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: FL ARNP9190205) |
Enumeration Date | 2009-02-24 |
Last Update Date | 2021-03-19 |