NPI | 1467249615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 325987) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 92625) |
Enumeration Date | 2025-04-22 |
Last Update Date | 2025-07-23 |