NPI | 1477341915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DC NP1058782) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MD R248450) |
Enumeration Date | 2025-04-25 |
Last Update Date | 2025-06-24 |