NPI | 1467547505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0021489007) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 604584) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 604584) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2024-06-20 |