NPI | 1457782260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA 234409) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP126597) |
Enumeration Date | 2013-12-03 |
Last Update Date | 2024-08-23 |